Foundations of Nursing Practice Flashcards
7 cards from real NACE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Foundations of Nursing Practice flashcards as text
A nurse is preparing to insert a urinary catheter. Which action is essential to maintain sterile technique?
Answer: Keep sterile gloved hands above waist level at all times
Sterile gloved hands must remain above waist level and within the nurse's field of vision to be considered sterile.
A client's morning blood glucose is 52 mg/dL and they are conscious and able to swallow. What is the nurse's first action?
Answer: Give 15–20 grams of fast-acting carbohydrates orally
The '15-15 rule' directs the nurse to give 15–20 g of fast-acting carbohydrates orally to a conscious hypoglycemic client first.
Which client statement indicates a correct understanding of incentive spirometry after abdominal surgery?
Answer: 'I will take a slow deep breath in and hold it for 3–5 seconds.'
Correct incentive spirometry technique involves a slow maximal inhalation followed by a 3–5 second breath-hold to open alveoli.
A nurse applies a wet-to-dry dressing to a wound. What is the primary purpose of this dressing type?
Answer: Mechanically debride necrotic tissue as the dressing dries
Wet-to-dry dressings adhere to necrotic debris when wet, and removal of the dry dressing mechanically debrides the wound.
A client's urine output for the past 8 hours totals 200 mL. How should the nurse document this finding?
Answer: Oliguria
Oliguria is defined as urine output less than 30 mL/hour or less than 400 mL/day; 200 mL in 8 hours (25 mL/hr) meets this criterion.
When teaching a client about a low-sodium diet, which food choice indicates the client needs further instruction?
Answer: Canned tomato soup
Canned soups are typically very high in sodium and are not appropriate for a low-sodium diet.
A nurse receives a telephone order from a physician. Which step is most important to ensure accuracy?
Answer: Read the order back to the physician and receive confirmation
Read-back verification — repeating the order to the prescriber and receiving confirmation — is the required safety step for telephone orders.